Liberty Club Seniors Inc

NPI 1225188923 - Homemaker - 376J00000X

NPI Details
NPI 1225188923
Enumeration Date 01/12/2007
Last Updated 12/12/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ETHEL ETHEL
Position CHIEF ADMINISTRATOR
Phone (813) 991-1960
Fax (813) 991-1961
Practice Location
10329 CROSS CREEK BLVD
SUITE P
TAMPA FL, 33647-2994, US
Phone (813) 991-1960
Fax (813) 991-1961
Business Location
10329 CROSS CREEK BLVD
SUITE P
TAMPA FL, 33647-2994, US
Phone (813) 991-1960
Fax (813) 991-1961
Toxanomy
Taxonomy Code 376J00000X
License State
License Number
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According to our database, Liberty Club Seniors Inc NPI is 1225188923, taxonomy code is 376J00000X Liberty Club Seniors Inc physically located at 10329 Cross Creek Blvd, Tampa FL, 33647-2994. NPI Number 1033115704 has the healthcare provider type.

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1225188923 NPI number is provided on an as is basis without warranty of any kind. 1225188923 is maintained by the National Plan & Provider Enumeration System. The contents of Liberty Club Seniors Inc are for informational purposes only.